| NPI | 1568613735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: NE 27988) |
| Additional Taxonomies | 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: NE 27988) |
| 2080T0004X Pediatrics, Pediatric Transplant Hepatology (Licence: PR 18178) | |
| 208000000X Pediatrics (Licence: PR 18178) | |
| 208000000X Pediatrics (Licence: NE 27988) | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: PR 18178) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2025-01-29 |